1991-9806 (WALL) (AVE 50 / AVILA DR) 76
IE
P.O. BOX 1504_ No. ssos
Building
Address 78-225 Hacienda LA QUINTA,CALIFORNIA 92253 ��
Owner
Villa La Quinta H.O.A.
Mailing BUILDING: TYPE CONST. OCC:GRP.•
Address P. O. Box 15 A.P.Number
CityZip Tel.
La Quinta 192253 1 564-21.77 Legal Description 19_ 00/ 16
Contract r Project Description
J 14
Address c Gate House
City Zi as
Tela
State Lic. City
&Classif. Lic.# Sq.Ft. No. No. Dw.
Arch.,Engr., Size Stories Units
Designer Carl Cox - New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
47159 Yovakis Ln Permit includes all block walls
CityZip State
Indio 92201 Lic.# C7394
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code,and my license is in full force and
effect.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractors License Law for the following 50,000.00
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance also AMOUNT
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that.he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars($500). j
❑I,as owner of the property,or my employees with wages as their sole compensation,will Plan Chk. Bal.
do the work,and the structure is not intended or offered for sale.(Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who Const. 1 U
builds or improves thereon and who does such work himself or through his own employees, Q .
provided that such improvements are not intended or offered for sale. If, however, the building Mech. 00
or improvement is sold within one year of completion, the owner-builder will have the burden Electrical .7 Z
of proving that he did not build or improve for the purpose of sale.)
❑ I,as owner of the property,am exclusively contracting with licensed contractors to con- Plumbing 52.50
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law 1/�
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. 5.10
such projects with a contractor(s)licensed pursuant to the Contractor's License Law.)
Grading ti0—
❑1 am exempt under Sec. B.&P.C.for this reason
Driveway Enc. —0—
Date Owner'/f is 'I r t i , ; + # L( [ �c \, Infrastructure 175. 42
ti..
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self-insure, or a certificate of
Worker's Compensation Insurance,or a certified copy thereot+(Sec.3800,Labor Code.)
Policy'No. Company jo, d, (
A) s filed with the city. ❑Certified copy is hereby furnished.
TOTAL 1080.88C�
CERTIFICATE OF EXEMPTION FROM ` REMARKS
WORKERS'COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued,I shall not ')1> f fi4_x O �,iNa:�,0 f ,
=any person in any manner so as to become subject to the Workers'Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued.(Sec.3097,Civil code.) Side Setback from Property Line
Lender's Name
Lender's Address
This is a building permit when properly filled out,signed and validated,and is subject to FINAL DATE INSPECTOR
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above Information is correct. Issued by: Date Permit
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-.
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL. SQ.FT.® $ UNITS
2ND FL. SQ.FT.
YARD SPKLR SYSTEM
POR. SQ.FT.® MOBILEHOME SVC. BAR SINK
GAR. SQ.FT.® POWER OUTLET ROOF DRAINS
CAR P. SQ.FT.
DRAINAGE PIPING
WALL SQ.FT.
DRINKING FOUNTAIN.
SQ FT ® URINAL
ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING
NOTE:Not to be used as property tax valuation FLOOR DRAIN
MECHANICAL FEES WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH)
APPLIANCE DRYER GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM KITCHEN SINK
ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET'
COMPRESSOR HP POLE,TEMIPERM LAVATORY
HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER
BOILER. B.T.U. SQ.FT.®c BATH TUB
SQ.FT.®c WATER HEATER
MAX.HEATER OUTPUT,B.T.U. SO.FT.RESID®1%c SEWAGE DISPOSAL
SQ.FT.GAR®V4c HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST.FEE ELECT.FEE SMI FEE PLUMB.FEE
STRUCTURE PLUMBING ELECTRICAL HEATING&AIR COND. SOLAR
SETBACK GROUND PLUMBING UNDERGROUND A.C.UNIT COLL.AREA
SLAB GRADE lay ROUGH PLUMB. BONDING HEATING(ROUGH) STORAGE TANK
FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE
FOUND.REINF. GAS(ROUGH) METER LOOP HEATING(FINAL) OTHER APPJEQUIP.
REINF.STEEL GAS(FINAL) TEMP.POLE
GROUT WATER HEATER SERVICE FINAL INSP.
BOND BEAM WATER SYSTEM
GRADING
LUMBER GR. ` FINAL INSP. l( cu.yd.
L
FRAMING O �'-� "t� V FINAL INSP: R(! $ plus-x$-=$
ROOFING 3V C G � �/30/tt REMARKS:
VENTILATION l l
FIRE ZONE ROOFING (_ o' -FVTfNg s C
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL /p
LATHING
MESH
INSULATION/SOUND R( _6 r
FINISH GRADING
FINAL INSPECTIO00
PQ
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINRUILS
GARDEN WALL FINAL
7. City Of Qui: to
Bullding a Safety Div[sion
Permit# 61110.lei .01 Z P.O.Box 1504,78-495 Calle Tampico
La.Quinta,CA 92253-(760) 777-7012
ij 76.150 50 Building Permit Application and Tracking Sheet
I Project Address: Owner's Name:.
rl
A.P.Number.
Address:
Legal Description: City,ST,Zip.
Contractor Telephone: t
Address: - B,q "U c- Pmject Description:
O
City,ST,Zip: 74-G
j Telephone: no, GO.OQ
State Lia# City Lic,M
Arch.,Eagr.,Designer 96 —
ti e-
Address: a c
City,ST,Zip: 70
Telephone: Construction Type: . Oc aupancy:
i
State Lic. Project type(circle one)-.- New Add'n Alter Repair Demo
.06 Name of Contact Person: Sq.Ft.: g Stories: M Unit
Telephone#of Contact Person:
Estimated Value of Project
r APPLICANT: DO NOT WRITE BELOW THIS UNE
N Submlttal Req'd Recd TRACKNG PERMLTFEFS
Pipe Sets Plan Check submitted Item Amount
Structural Calm Reviewed,ready for correction Plan Check Deposit. .
Truss Calm Called Contact Person Pian Check Balance
Tide 24 Calcs. Plans picked up Construction
Flood plain plan Plans resubmitted Mecharilcal
Giading plan 2"Rmlew,ready for correctionsti sue Electrical .
Subcoatactor List Called Contact Person Plumbing
Grant Deed Plans picked up S,M,L
13 O A Approval Plans resubmitted Grading
EV HOUSE:- ''a Review;ready for correctionMssae Developer Impact Fee
Planning Approval Called Contact Person AXP.P.
Pub.Wks.Appr Date of permit Issue
School Fees
Total Permit Fees